Individual ProviderDave James PeisleyCounselorBehavioral Health & Social Service ProvidersPractice Address409 Lincoln St, The Dalles, OR 97058-1809(541) 296-5452PECOS EnrollmentBased on the most recent information from CMS, provider Dave James Peisley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437529591Provider TypeIndividualFull NamePeisley, Dave JamesGenderMaleSole ProprietorNoEnumeration Date10/1/2015Last Updated10/1/2015Contact InformationPractice LocationPractice Address409 Lincoln St, The Dalles, OR 97058-1809Phone(541) 296-5452FaxUnlisted FaxMailing LocationMailing Address409 Lincoln St, The Dalles, OR 97058-1809Phone(541) 296-5452FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer